Provider Demographics
NPI:1164846762
Name:HYING, ELISABETH (RN)
Entity Type:Individual
Prefix:
First Name:ELISABETH
Middle Name:
Last Name:HYING
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:870 WOODROW ST
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53711-1959
Mailing Address - Country:US
Mailing Address - Phone:608-287-8952
Mailing Address - Fax:
Practice Address - Street 1:870 WOODROW ST
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53711-1959
Practice Address - Country:US
Practice Address - Phone:608-287-8952
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-02-18
Last Update Date:2014-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI102762-30163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse